What is credentialing in NEMT?
Overview
Credentialing is the review a broker or health plan runs on a transportation company before it can receive trips. The broker checks the business, its insurance, each vehicle, and each driver against its contract and state rules, including background checks, driving records, drug screens, and training. Only credentialed drivers and vehicles may carry the broker's riders.
On this page
What credentialing checks
A broker credentials three things: your company, your vehicles, and your drivers. Nothing rides until all three pass. Two brokers show how much the lists can differ.
| Level | SafeRide Health | MediDrive (Colorado) |
|---|---|---|
| Company | Certificate of insurance naming SafeRide as additional insured, with the liability limits in the FAQ below | Ownership documents, general liability insurance, a W-9, and the counties you serve |
| Vehicles | Registration and insurance | Registration or ownership records, insurance, a broker safety inspection, and an ASE inspection (any age for wheelchair vehicles, 5 years or older for ambulatory) |
| Drivers | License and ID, motor vehicle report, national background and sex offender registry checks, pre-hire drug screen, defensive driving, first aid or CPR, and securement training | License, FBI fingerprints, federal background check and 10-panel drug screen within 30 days, motor vehicle record covering the current and past two years, OIG and SAM exclusion checks, passenger assistance training, first aid and CPR, third-party defensive driving, and securement training for wheelchair providers |
Federal law sets the floor under all of it. Section 1902(a)(87) of the Social Security Act asks for four things: the provider and its drivers are not excluded from federal health programs, every driver has a valid license, and the provider has one process for handling state drug law violations and another for disclosing each driver’s driving history to the state Medicaid program. Brokers and states add their own requirements on top.
Credentialing vs Medicaid enrollment
These are two separate approvals, and people mix them up.
- Enrollment is with the state. It makes you a Medicaid provider. Federal rules require states to screen providers by risk level. Arizona screens new NEMT companies at the high-risk level, which means an application fee, a site visit, and a fingerprint-based background check.
- Credentialing is with a broker or plan. It admits you to that network so you can receive its trips.
Colorado’s 2026 transition shows the order. A new provider enrolls with the state as NEMT provider type 73. After approval, it completes credentialing for the company, vehicles, and drivers through ProCredEx, then enrolls with MediDrive, the statewide broker. MediDrive loads the roster into its scheduling system and connects the provider’s vehicles to its trip system before assigning trips.
A Colorado example
Picture a new three-van company in Aurora that wants MediDrive trips. It enrolls with the state as provider type 73, which HCPF opened to new companies starting October 1, 2026, after a moratorium that ran through September 30, 2026. Once the state approves it, the company gathers ownership documents, a driver roster with every required credential, and a vehicle roster with inspections, finishes credentialing through ProCredEx, and then enrolls with MediDrive. It also buys a compatible device for each vehicle, plus the video and audio recording cameras MediDrive requires, because MediDrive supplies the software but not the hardware. The Colorado NEMT guide and the MediDrive broker guide cover the rest.
After you pass
Credentialing opens the door. Performance keeps it open. SafeRide, for example, expects a 95% trip acceptance rate, 95% on-time performance, a 100% response rate, and complaints under 1%. Brokers also recheck your files on a schedule, which is recredentialing.
Credentialing vs nearby terms
- Contracting: signing the broker’s provider agreement. In Colorado, HCPF has new providers finish credentialing through ProCredEx before they enroll with MediDrive, so credentialing comes first.
- Licensing: state or city permits to operate vehicles for hire, separate from any broker.
- Accreditation: a voluntary outside review, such as NEMTAC accreditation.
- Recredentialing: the periodic re-review after you are in the network.
Our broker credentialing guide and the free broker credentialing checklist and driver file checklist walk through building the file.
HealthRide tracks each driver and vehicle credential with its expiration date, sends reminders before anything lapses, and flags expired items before a trip is assigned (fleet and credentials).
Frequently asked questions
- Is broker credentialing the same as Medicaid enrollment?
- No. Enrollment makes you a Medicaid provider with the state, which screens you by risk level. Credentialing admits you to one broker's network under its contract. Some states need both, in that order. Colorado requires state enrollment as NEMT provider type 73 before a provider can contract with MediDrive.
- What insurance do brokers ask for?
- It varies by broker and state. SafeRide Health, for example, asks for a certificate naming SafeRide as additional insured, with auto liability of at least $500,000 and general liability of at least $1 million per occurrence and $2 million in aggregate. Check each broker's current requirements before you buy a policy.
- Do I credential separately with each broker?
- Yes. Each broker keeps its own network, contract, and file on your company, drivers, and vehicles. Passing one broker's review does not carry over to another.
